Maternal-Newborn Nursing NCLEX
Questions with Accurate Answers
_____ performed at 16 weeks to determine disorders; at 30 weeks to determine
lung maturity; bladder emptied if performed after 20 weeks gestation correct
answer Amniocentesis
_____ weeks= fundus at umbilicus correct answer 20 weeks
______ weeks= fundus rises out of symphysis correct answer 12-13 weeks
___________= fundal height (in centimeters) from the symphysis is equal to
number of weeks of gestation if this is a single pregnancy correct answer 24-36
weeks
-Assess for risk factors in maternal history (infant of a diabetic mother) and
environmental factors (cold stress)
-In general, blood glucose levels <40 mg/dl are considered abnormal and warrant
investigation and intervention.
-INfant is fed formula or breastfeed as soon as the repeat (usually) sample is
obtained to prevent a further drop in blood glucose
-Administer IV glucose infusions per HCP prescription for indents with
symptomatic hypoglycemia or those too ill to be safely fed orally
-Reduce adverse environmental factors (excessive handling and cold stress)
correct answer Hypoglycemia in a Newborn
-Caused by inability to produce surfactant
-Resulting in hypoxia and acidosis correct answer Respiratory Distress Syndrome
,-Caused by maternal alcohol use during pregnancy
-Associated with neurological problems, IQ deficit, and attention deficit/
hyperactivity disorder
-Craniofacial features include microcephaly, small eyes or short palpebral fissures,
a thin upper lip, a flat mid face, and an indistinct philitrum.
-Treatment of drug exposed newborns focuses on reduction of external stimuli,
supprtive treatment of symptoms and sedation correct answer Fetal alcohol
Syndrome
-Damage to retinal vessels caused by prolonged use of oxygen (>30 days)
-Infants receiving oxygen should be examined by opthalmologist correct answer
Retinopathy of Prematurity
-Discomfort localized to the abdomen
-No lower back pain
-Contractions often stop with ambulation or position change correct answer False
labor
-Effects on fetus vary according to substance
-Narcotics cause passive addiction: neonatal abstinence syndrome
-Cocaine is classified as a narcotic but not an opioid; it causes= vasoconstriction,
preterm birth, poor growth, neurological problems correct answer Maternal
Substance Abuse
-Fetal distress increases intestinal peristalsis
, -Releases meconium into amniotic fluid correct answer Meconium Aspiration
Syndrome
-Given 1st or 2nd stage; may prolong the 2nd stage
-Single dose or continous
-Fluid bolus to prevent hypotension correct answer Peridural (Epidural or Caudal)
-Given for episiotomy
-Has no effect on pain of uterine contractions correct answer Pudendal Block
-Given in the 2nd stage
-Rapid onset
-Client must remain flat for 6-8 hours after delivery correct answer Intradural
(subarachnoid spinal)
-Given subQ to non immune client before discharge from hospital
-May breastfeed
-Do not give if client or family member is immunocompromised
-Avoid pregnancy for 2- 3 months (reinforce contraception) correct answer
Rubella Vaccine
-Given to Rh-negative women with possible Ph- positive blood
-Should have negative indirect Coombs' test
-Given IM within 72 hours after delivery
-Checked by two nurses (blood product) correct answer RhoGAM
Questions with Accurate Answers
_____ performed at 16 weeks to determine disorders; at 30 weeks to determine
lung maturity; bladder emptied if performed after 20 weeks gestation correct
answer Amniocentesis
_____ weeks= fundus at umbilicus correct answer 20 weeks
______ weeks= fundus rises out of symphysis correct answer 12-13 weeks
___________= fundal height (in centimeters) from the symphysis is equal to
number of weeks of gestation if this is a single pregnancy correct answer 24-36
weeks
-Assess for risk factors in maternal history (infant of a diabetic mother) and
environmental factors (cold stress)
-In general, blood glucose levels <40 mg/dl are considered abnormal and warrant
investigation and intervention.
-INfant is fed formula or breastfeed as soon as the repeat (usually) sample is
obtained to prevent a further drop in blood glucose
-Administer IV glucose infusions per HCP prescription for indents with
symptomatic hypoglycemia or those too ill to be safely fed orally
-Reduce adverse environmental factors (excessive handling and cold stress)
correct answer Hypoglycemia in a Newborn
-Caused by inability to produce surfactant
-Resulting in hypoxia and acidosis correct answer Respiratory Distress Syndrome
,-Caused by maternal alcohol use during pregnancy
-Associated with neurological problems, IQ deficit, and attention deficit/
hyperactivity disorder
-Craniofacial features include microcephaly, small eyes or short palpebral fissures,
a thin upper lip, a flat mid face, and an indistinct philitrum.
-Treatment of drug exposed newborns focuses on reduction of external stimuli,
supprtive treatment of symptoms and sedation correct answer Fetal alcohol
Syndrome
-Damage to retinal vessels caused by prolonged use of oxygen (>30 days)
-Infants receiving oxygen should be examined by opthalmologist correct answer
Retinopathy of Prematurity
-Discomfort localized to the abdomen
-No lower back pain
-Contractions often stop with ambulation or position change correct answer False
labor
-Effects on fetus vary according to substance
-Narcotics cause passive addiction: neonatal abstinence syndrome
-Cocaine is classified as a narcotic but not an opioid; it causes= vasoconstriction,
preterm birth, poor growth, neurological problems correct answer Maternal
Substance Abuse
-Fetal distress increases intestinal peristalsis
, -Releases meconium into amniotic fluid correct answer Meconium Aspiration
Syndrome
-Given 1st or 2nd stage; may prolong the 2nd stage
-Single dose or continous
-Fluid bolus to prevent hypotension correct answer Peridural (Epidural or Caudal)
-Given for episiotomy
-Has no effect on pain of uterine contractions correct answer Pudendal Block
-Given in the 2nd stage
-Rapid onset
-Client must remain flat for 6-8 hours after delivery correct answer Intradural
(subarachnoid spinal)
-Given subQ to non immune client before discharge from hospital
-May breastfeed
-Do not give if client or family member is immunocompromised
-Avoid pregnancy for 2- 3 months (reinforce contraception) correct answer
Rubella Vaccine
-Given to Rh-negative women with possible Ph- positive blood
-Should have negative indirect Coombs' test
-Given IM within 72 hours after delivery
-Checked by two nurses (blood product) correct answer RhoGAM
